NPI | 1871726141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36832) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36832) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36832) | |
103TF0000X Psychologist, Family (Licence: TX 36832) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: TX 36832) | |
Enumeration Date | 2009-09-02 |
Last Update Date | 2018-02-14 |